Dacryocystorhinostomy (DCR) or Tear Duct Surgery in Iran: A Complete Guide to Treatment, Costs & Benefits

Tears keep your eyes clean, lubricated, and protected against infection. But when the tiny drainage passage between the eye and the nose becomes blocked — whether due to congenital issues, infections, age, or trauma — the result can be constant tearing, discomfort, and recurring infections. Tear duct surgery in Iran (Dacryocystorhinostomy, or DCR) is one of the most effective and affordable treatments for this condition, performed by highly experienced ophthalmic surgeons using advanced techniques.

DCR creates a new pathway for tears to drain properly into the nose, relieving symptoms and preventing long-term complications. Iran has become a major hub for this type of eye surgery, attracting thousands of international patients annually.

 

What Is Dacryocystorhinostomy (DCR) or Tear Duct Surgery?

Dacryocystorhinostomy (DCR) — commonly referred to as tear duct surgery or lacrimal duct surgery — is a specialized eye procedure designed to restore proper tear drainage when the tear ducts become blocked. A blocked duct can lead to symptoms like excessive tearing, irritation, swelling, and redness.

How Tear Duct Surgery in Iran Works

During the operation, which is typically performed under general or local anesthesia, the surgeon uses a thin endoscope equipped with a light and camera to view the tear drainage system. A small opening is then created to redirect the tears from the obstructed duct into the nasal cavity, allowing them to drain normally again. This is one of the core techniques used in tear duct surgery in Iran, where advanced endoscopic tools and skilled surgeons ensure high success rates.

 

Common Signs of a Blocked Tear Duct

A blocked tear duct may cause one or more of the following symptoms:

• Persistent watery eyes

• Redness in or around the eye

• Recurrent infections (e.g., conjunctivitis)

• Painful swelling near the inner corner of the eye

• Crusts on the eyelashes or lids

• Mucus or pus discharge

If these problems keep returning, DCR is often the recommended treatment.

Types of Dacryocystorhinostomy or Tear Duct Surgery in Iran

Tear duct surgery — medically known as Dacryocystorhinostomy (DCR)— is a procedure designed to bypass a blocked tear drainage system by creating a new channel between the lacrimal sac and the nasal cavity.

There are two primary surgical approaches to tear duct surgery in Iran:

External Dacryocystorhinostomy and Endoscopic Dacryocystorhinostomy. In both methods, the surgeon places a soft silicone tube inside the duct to maintain the new tear drainage passage. This temporary stent stays for several weeks and is then easily removed during a follow-up visit.

1. External DCR

A small, 10–15 mm incision is made near the side of the nose.

• Fast healing

• Minimal scarring, often barely visible

• A soft silicone tube is placed temporarily to keep the new pathway open and is removed several weeks later in the clinic

2. Endoscopic DCR

A modern, minimally invasive technique performed through the nasal passage using an endoscope.

• No external cuts or scars

• Faster recovery

• Ideal for patients who want a cosmetically invisible procedure

• A silicone tube is placed temporarily, which is removed several weeks later in the clinic

There is also another new method, which is a minimally invasive, laser-assisted procedure:

3. Trans-canalicular Laser-Assisted DCR (TLE-DCR)

A cutting-edge minimally invasive method using a laser through the natural tear canal:

• Quick recovery

• Minimal bleeding

• No external incision

• Recommended for patients with bleeding disorders or those who prefer a less invasive option

Why Choose Tear Duct Surgery in Iran?

Iran has become one of the most trusted destinations for tear duct surgery because of its skilled surgeons, advanced equipment, and remarkably affordable costs.

Advantages of Tear Duct Surgery in Iran

Here are the main reasons international patients choose Iran for tear duct surgery:

💰 Significantly lower surgery costs

🏨 Affordable hotel and travel accommodations

👨‍⚕️ Highly experienced ophthalmologists with excellent success rates

🔬 State-of-the-art hospitals and imaging facilities

📈 High volume of successful DCR surgeries annually

 

What Causes Blocked Tear Duct?

Blocked tear ducts can happen at any age and for a variety of reasons. Some of the most common causes include:

Aging: As we get older, the tiny drainage openings (puncta) may naturally narrow.

Congenital issues: Some infants are born with underdeveloped tear ducts that may stay blocked.

Chronic infections: Repeated sinus or eye infections can lead to inflammation and obstruction.

Injury or trauma: Even small facial injuries or debris entering the eye can disrupt the tear drainage pathway.

Tumors: In rare cases, growths around the nose or sinuses can block the duct.

Understanding the root cause helps the surgeon determine the most effective treatment plan.

How to Prepare for Dacryocystorhinostomy in Iran

Before undergoing dacryocystorhinostomy in Iran, patients complete a series of diagnostic steps to ensure the safest and most effective outcome:

• Comprehensive examination of the tear drainage system

• Imaging tests such as CT scan, MRI, or X-ray (depending on the case)

• Diagnostic probing to confirm the site of obstruction

• Routine blood tests and allergy screening

• Tear drainage assessment to measure tear flow

• Review of your medical history, medications, or past surgeries

These evaluations help your ophthalmologist decide whether standard DCR, endoscopic DCR, or laser-assisted DCR is the best option for your condition.

Recovery After Tear Duct Surgery in Iran

Aftercare Instructions

Tear duct surgery is typically performed as an outpatient procedure, meaning patients can return home the same day. Your surgeon will provide tailored aftercare instructions, but here are the general expectations:

• Mild discomfort may occur, and pain relief medication is prescribed.

• Swelling or bruising around the eyes and nose is normal during the first few days.

• Cold compresses can help reduce swelling.

• If a silicone stent is placed, it usually remains for a few weeks to three months before removal.

• Antibiotic and anti-inflammatory medications are often required to prevent infection and aid recovery.

Healing is generally quick, and most patients resume normal activities within a few days.

Tips for a Smooth Tear Duct Surgery Recovery

To lower the risk of infection and ensure the best surgical outcome, keep these tips in mind:

1. Keep your hands clean and avoid touching or rubbing your eyes.

2. Replace old makeup tools and avoid sharing cosmetics.

3. Maintain proper hygiene for contact lenses.

4. Avoid blowing your nose for several days post-surgery to prevent bleeding.

5. Sleep with your head elevated on two pillows for at least one week.

6. Follow all medication instructions and attend follow-up appointments.

These precautions help minimize irritation and support optimal tear drainage.

Who Is a Good Candidate for Tear Duct Surgery in Iran?

You may be a suitable candidate for tear duct surgery if you experience:

• Excessive tearing

• Pain or swelling near the inner corner of the eye

• Mucus discharge

• Recurrent eye infections

Underlying factors may include anatomical narrowing, chronic sinus issues, conjunctivitis, tumors, or nasal trauma.

Leaving the blockage untreated can lead to worsening infections and prolonged discomfort.

Potential Risks and Complications of Tear Duct Surgery

While tear duct surgery in Iran is considered a safe and low-risk procedure, complications may rarely occur, such as:

• Minor bleeding

• Infection

• Visible scarring (only with external DCR)

• Movement or displacement of the silicone stent

Your surgeon will discuss these risks during your consultation to ensure you know exactly what to expect.

How Much Is the Cost of Tear Duct Surgery in Iran?

One of the biggest advantages of choosing tear duct surgery in Iran is the affordability without compromising quality. Tear duct surgery in Iran costs only $1,500–$3,000, while patients in Europe spend about $4,800, and those in the United States pay nearly $6,000.

This cost difference is why many international patients come to Iran for ophthalmic treatments — receiving high-level care at a fraction of the price.

plan your tear Duct surgery in Iran with the Best ophthalmologist surgeon.

Why Iran Medical Tours for Tear Duct Surgery in Iran?

Iran Medical Tours is a medical tourism facilitator in Iran that cooperates with top ophthalmologists and accredited hospitals in Tehran, Shiraz, Mashhad, and other major cities.

With us, your experience is seamless from the moment you reach out.

What We Provide:

✈️ Airport pick-up

🚗 Transfers

🏨 Hotel booking

🛂 Visa assistance

🗣️ Bilingual assistants

🩺 Priority appointments with top surgeons

🏥 Access to modern hospitals with advanced endoscopic and imaging systems at affordable prices

🌆 Optional city tours during your stay

We take care of everything so you can focus solely on your treatment and recovery.

Reach out to us via WhatsApp, and our team at Iran Medical Tours will get back to you promptly.

 

You may also want to know about:

Bulging Eyes Treatment in Iran

Cataract Surgery in Iran

Corneal Transplant in Iran

Diabetic Retinopathy Treatment in Iran

Eyelid Surgery in Iran

Glaucoma Surgery in Iran

Lasik Eye Surgery in Iran

Medical Treatments in Iran

Pterygium Surgery in Iran

Strabismus Treatment in Iran

Vitrectomy in Iran

 

FAQ About Tear Duct Surgery in Iran

1. Is tear duct surgery painful?

Tear duct surgery is performed under local or general anesthesia, so you won’t feel pain during the operation. Mild soreness afterward is normal and can easily be controlled with prescribed pain relievers.

2. Can a blocked tear duct return after surgery?

Yes, although it’s uncommon. In some cases, the new drainage channel may narrow again over time. If this happens, your surgeon may recommend a revision procedure or alternative treatment.

3. How long should I stay in Iran for tear duct surgery?

Most international patients stay 5–7 days. This allows time for pre-operative tests, surgery, and an initial follow-up visit before flying back home.

4. Is tear duct surgery in Iran safe?

Absolutely. Iran’s ophthalmologists are highly trained, and the country’s eye clinics are equipped with modern endoscopic tools and advanced imaging systems. The procedure has a very high success rate and is considered low-risk.

5. What is the recovery time after tear duct surgery?

Initial recovery takes only a few days. Complete healing typically occurs within 1–2 weeks, although silicone stents (if used) remain in place for about three months before removal.

6. When can I return to work after the tear duct surgery?

Most patients feel ready to return to work within 3–5 days, depending on the nature of their job and how quickly their swelling subsides.

7. When can I resume sports and physical activity?

• Light walking: same day

• Gym workouts: after 2 weeks

• Swimming & more strenuous activities: after 3 weeks

Always follow your surgeon’s recommendations, as healing times may vary.

8. When can I wear contact lenses after the tear duct surgery?

You can usually resume wearing contact lenses after 3 weeks, or once you’re comfortable and your doctor approves.

9. When can I start wearing makeup after the tear duct surgery?

Makeup is generally safe once stitches (if any) are removed — usually around a week after surgery.

10. When is it safe to drive after tear duct surgery?

Avoid driving while taking narcotic pain medications or using thick ointments that blur vision. Most patients can drive safely 3–5 days after surgery.

11. How can I arrange tear duct surgery in Iran?

Simply contact Iran Medical Tours via WhatsApp. Their coordinators will offer a free consultation, help you choose a surgeon, and customize a treatment plan along with travel arrangements.

12. What is a partial tear duct blockage?

A partial blockage means the tear duct is narrowed but not completely closed. Tears drain slowly and tend to build up, sometimes causing infection. Treatment methods are usually similar to those for a complete blockage.

13. How is Endoscopic DCR different from conventional DCR?

• Endoscopic DCR: performed through the nose; no external scars; faster recovery.

• External DCR: involves a tiny skin incision near the eye.

Both techniques offer high success rates, but the endoscopic approach is preferred for cosmetic reasons.

14. Who is most likely to get a blocked tear duct?

• Babies (due to immature tear ducts)

• Adults with chronic eye infections

• Those with glaucoma

• People with a history of eye or sinus surgery

• Patients who have undergone radiation or chemotherapy

15. How long is the hospital stay after tear duct surgery in Iran?

Tear duct surgery is usually a same-day outpatient procedure. Patients are monitored for 2–3 hours and then discharged.

16. Are there alternatives to tear duct surgery?

Yes. Depending on the severity, your doctor may recommend:

• Tear duct massage

• Probing

• Antibiotics for infection

• Balloon dilation

However, DCR remains the most effective long-term solution for complete obstructions.

17. Will tear duct surgery leave a visible scar?

Not if you choose endoscopic DCR, as it is performed internally through the nose.
External DCR leaves only a tiny incision near the nose, which usually becomes barely noticeable once healed.

18. How is the silicone tube removed? 

The stent removal is a quick, painless clinic procedure that takes only a few seconds and does not require anesthesia.

19. Is DCR performed on infants? 

DCR is not usually the first choice for babies. Doctors prefer techniques like gentle massage or probing. DCR is only recommended for infants who don’t respond to these methods.

20. How long should I use eye drops after the tear duct surgery? 

Most patients use antibiotic and anti-inflammatory drops for 2–3 weeks, depending on the surgeon’s instructions.

21. Is there an age Limit for tear duct surgery?

There is generally no strict age limit. Adults over 18 are good candidates once facial structures are fully developed. Infants with congenital blockage may receive tailored age-appropriate treatments.

22. Can I prevent tear duct blockage?

Yes, by maintaining good eye hygiene, avoiding allergens, wearing protective eyewear, and caring properly for contact lenses.

23. Are stitches used in tear duct surgery?

Endoscopic DCR typically requires no external stitches. Small internal incisions heal naturally, though in rare cases, internal absorbable sutures may be used.

24. When are stitches removed after tear duct surgery?

If stitches are placed, they either dissolve on their own or are removed in 5–7 days during your follow-up visit.

25. Can tear duct surgery affect my vision?

The surgery does not harm your vision. In fact, many patients feel their sight improves because constant tearing and blurriness are eliminated.